Severe hydrops in the right kidney Dilation of the right upper ureter, Suspected right ureteral obst

Judging from your dad's symptoms, he suffered from kidney colic last night. Combined with his B-ultrasound examination, "fluid separation of the right renal pelvis".As a result of the "upper right ureteral dilation", the right ureter is blocked, resulting in the urine secreted by the right kidney not being able to descend into the bladder, and accumulating in the ureter and right kidney, resulting in the upper right ureteral dilation and right hydronephrosis.

What can cause a blocked ureter? There are two common causes, one is urinary calculi, and the other is tumor compression of the peripheral tissues of the ureter. Combined with his normal health and a history of renal colic, urinary stones are most likely.

Urinary stones as long as they are properly diagnosed. Timely**, not a serious illness.

Ultrasound is the simplest and most reliable method for diagnosing urinary stones. However, a small number of patients have hidden stones, which cannot be shown by ordinary B-ultrasound and X-ray abdominal films, and must be diagnosed by color ultrasound or X-ray urography. You should give him further examination to confirm the diagnosis; Once the diagnosis is clear, ureteral stones can be treated with extracorporeal lithotripsy**, which doesn't cost much**.

Please refer to it.

I don't know what you're going to ask, it looks like the result of doing a b-ultrasound.

But in any case, it is necessary to further examine and **. Severe hydrops in the right kidney must have a serious impact on the function of the right kidney.

There are many tests that can be performed, but the first one to be done is CTU (CT Urology Imaging), which is non-invasive and has a relatively clear development. If there are stones, they can be clearly displayed. If there is stenosis, it can generally be shown more clearly.

Not sure about your problem, how long has it been happening? Are there any pain symptoms? I can't give you an accurate answer, I suggest you go for a venous pyelogram, this is cheaper, and it is more effective, it can basically be diagnosed, if not, do CT, this is more serious, go to a big hospital**.

Are there any symptoms?

There are many causes of obstruction, such as stones, inflammatory stenosis, etc.;

It is recommended to perform KUB+IVP definitively, or retrograde urography, and more directly, CT.

It's best to do an imaging to make sure that sometimes ultrasound is not accurate, and you have to find out if there is water accumulation and the cause of water accumulation.

KUB+IVP definitive or retrograde urography is recommended. If you can't see clearly, CT is done. Because there are many reasons.

Identify the cause of obstruction. Solve it in time!

Yes, mild hydrops are not very serious, but they cannot be allowed to develop, and if not, severe hydrops will occur in the later stage, leading to kidney failure.

At present, there are two methods for ureteral tortuosity: one is to remove the tortuous part of the anastomosis through the incision method, and the upper double J tube is anastomosis, which has the advantage of definite efficacy, but it is prone to anastomotic scar stenosis; The second is to directly use ureteroscopy for ureteroscopy and then the upper double J tube plays the role of a stent, and the double J tube is retained for 2-3 months after surgery. The advantage of this method is that there is no need for surgery, but the failure to pass through the stenosis during the microscopic examination will cause the surgery to fail, and there is a possibility that the stenosis will reappear.

As for the circumstance even if it is caused by renal prolapse, it is not recommended to have kidney suspension surgery, which is too likely.

Based on the current examination data, left ureteral malformation is suspected, and the possibility of middle and lower ureteral atresia cannot be ruled out. Upstairs suggested CTU inspection is desirable. If it is really locked, retrograde imaging will not work.

1. Analysis of all conditions: the causes of hydronephrosis are divided into congenital and acquired, as well as hydronephrosis caused by the urinary tract and the lower urinary tract**. Congenital obstruction Segmental non-function Intrinsic ureteral stenosis Ureteral twisting, adhesions, banding, or valve structures Ectopic vascular compression1 3, ectopic hilar vessels, high ureteral opening, etc.

Acquired obstruction Post-inflammatory or ischemic scarring leads to local fixation. Vesicoureteral reflux causes the ureters to twist and eventually form the renal pelveropelvic junction or ureteral obstruction due to periureteral fibrosis. New organisms such as tumors and polyps in the renal pelvis and ureters may be primary or metastatic.

Ectopic kidneys (migratory kidneys). Stone and traumatic and scar stenosis after trauma.

Suggestions: Now the main thing is to remove the obstruction, improve kidney function, alleviate symptoms, eliminate infection, and repair its normal anatomy as much as possible on the basis of the elimination of **.

You have a kidney ultrasound examination, and the right kidney is separated by 10 mm, and the inner diameter of the upper ureter of the right ureter is 5 mm, which is the ultrasound manifestation of mild hydronephrosis.

Depending on your tests, the cause of hydronephrosis should be identified

The most common cause is stones, but other causes include inflammatory scars, tuberculosis, tumors, narrowing of the junction between the kidney and the ureter, and obstruction caused by pressure from extraurinary tract masses.

Further investigations such as x-ray intravenous urography, transureteral retrograde catheterography, and isotope nephrogram are recommended.

In order to find out the cause of hydrops, in order to target, the obstruction is relieved, which is the most important method.

Guiding Opinions: Traditional Chinese medicine believes that hydronephrosis is mostly due to spleen and kidney deficiency, and water and dampness are not transported; or due to sand and gravel obstruction, affecting water flow; or damp heat scorching yin, unfavorable vaporization, and poor waterways. In addition, different parts of water accumulation will have different clinical manifestations, but the cause of hydronephrosis is caused by the lack of yang qi and the inability to warm the water liquid, and the water and liquid stop accumulating and cause yang deficiency qi damage, while yang deficiency qi loss cannot warm water drinking.

**The main prescriptions used for hydronephrosis are Banxia, Lulutong, Licorice, Hyssop, Talc, Rhubarb, Psyllium, Peilan, Motherwort, Huoxiang, and Salvia. Patients with renal insufficiency who are accompanied by stones can be treated with chicken gold, desmodium, and sea sands; If the tongue is dark and there is ecchymosis, 20 ml of Mai Luoning injection or compound Danshen injection should be given, 250 ml of 5% glucose solution should be added, and 1 luminal intravenous infusion should be given; It is not good to urinate and add yellow rotten front cypress and wood to the limbs; Those with hematuria should add white grass root, arborvitae leaves, puhuang, etc.